Provider Demographics
NPI:1437740586
Name:VON KESSEL, JESSICA ROBIN (ATS)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:ROBIN
Last Name:VON KESSEL
Suffix:
Gender:F
Credentials:ATS
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Mailing Address - Street 1:1474 OHM AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1202
Mailing Address - Country:US
Mailing Address - Phone:917-456-6730
Mailing Address - Fax:
Practice Address - Street 1:3399 NORTH RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1387
Practice Address - Country:US
Practice Address - Phone:845-575-3000
Practice Address - Fax:845-575-3118
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer